Provider Demographics
NPI:1396339818
Name:CHO, HYUN JIN (RPH)
Entity type:Individual
Prefix:DR
First Name:HYUN JIN
Middle Name:
Last Name:CHO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:DR
Other - First Name:HYUN JIN
Other - Middle Name:
Other - Last Name:HONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3573 PASEO DE LOS CALIFORNIANOS UNIT 265
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-4154
Mailing Address - Country:US
Mailing Address - Phone:949-510-1468
Mailing Address - Fax:
Practice Address - Street 1:1285 S MISSION RD
Practice Address - Street 2:
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-4005
Practice Address - Country:US
Practice Address - Phone:760-451-2970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83877183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist